Organization Active NPI

Gertrude Nelson

  • Pediatric Skilled Nursing Facility
  • Spring Valley, NY
National Provider Identifier
1285815308
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
352891-1 Issued in NY
Legal business name
GERTRUDE NELSON
Practice address
8 Pauline CT
Spring Valley, NY 10977-6529
Phone
(845) 426-2601
NPI assigned
Nov 16, 2007
Last updated
Feb 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Gertrude Delores Nelson, RN, BSW, MPHNPI 1043488158
Title
Owner
Phone
(845) 426-2601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 352891-1 NY Primary

Addresses

Primary practice location

8 Pauline CT
Spring Valley, NY 10977-6529

Mailing address

8 Pauline CT
Spring Valley, NY 10977-6529
Phone (845) 426-2601

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1285815308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PAULINE CT",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109776529",
            "telephone_number": "845-426-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PAULINE CT",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109776529",
            "telephone_number": "845-426-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERTRUDE NELSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "GERTRUDE",
        "authorized_official_middle_name": "DELORES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-426-2601",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSW, MPH"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NY",
            "license": "352891-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.